Healthcare Provider Details

I. General information

NPI: 1407881451
Provider Name (Legal Business Name): RHONDA JEAN STERN MA, ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E BEAVER AVE SUITE #2
STATE COLLEGE PA
16801-5606
US

IV. Provider business mailing address

700 E BEAVER AVE SUITE #2
STATE COLLEGE PA
16801-5606
US

V. Phone/Fax

Practice location:
  • Phone: 814-861-4577
  • Fax:
Mailing address:
  • Phone: 814-861-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC001921
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0019150610002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: